November 30, 2023

Massachusetts Medicaid PDPM Reimbursement Top 6 Tips

Kris B. Harmony, OTR/L, LNHA, MBA

Kris B. Harmony, OTR/L, LNHA, MBA

  1. Internally audit and monitor the whole house and determine if the OBRA MDS is accurately reflecting the Medicaid PDPM level.
  2. Implement Triple Check Meeting for Medicaid PDPM patients only.
  3. Track Resident quarters.
  4. State Medicaid Medical record review audits will occur two times per year. All significant changes MDS assessments will be reviewed by the auditors.
  5. Implement best practice of minimum weekly notes on all residents.
  6. Download the PDPM Rates for Massachusetts Medicaid in both PDF and Excel ZIP  file.

Hope Everyone Had a Happy Thanksgiving!

Get Expert Tips in your inbox

Subscribe to our blog